A list of the most recent deficiencies for Midlothian Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-20 | 2024-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-20 | 2024-03-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-02-20 | 2024-03-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-02-20 | 2024-03-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-20 | 2024-02-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-20 | 2024-02-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-20 | 2024-02-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-20 | 2024-02-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-20 | 2024-02-26 | N |
| Meet other general requirements. | Fire Safety | 2024-02-20 | 2024-02-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-26 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-11-14 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-28 | 2023-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-28 | 2023-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-28 | 2023-08-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-12 | 2022-10-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-20 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-30 | 2022-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-09 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-23 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-09 | 2021-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-09 | 2021-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-06-28 | N |
